Use of omental pedicle for postpneumonectomy bronchopleural fistula. A case report.:-a case report-

概要

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Left pneumonectomy with R2a lymphnode dissection was performed on a patient with lung cancer originating in the left upper lobe. The postoperative course was uneventful until the 21th POD. Then his chest roentgenogram showed decreased niveau and pleural effusion. His clinical condition and laboratory data were normal, but a tiny fistula of the bronchial stump was detected by bronchofiberscopy (BFS). Therefore, emergency pleurocentesis and reoperation were performed. Fortunately empyema was not present, so only omentopexy with fibrin glue was done. Postoperatively, BFS showed that the bronchial stump had progressively broken down and definite evidence of healing was observed 3 weeks after operation. The BFS finding indicated that it would take at least 1 week for empyema to develop after the formation of a tiny fistula. Early detection at this time would be very important for successful treatment of bronchopleural fistula.
特定非営利活動法人日本呼吸器外科学会の論文